Prospective Payment System (PPS) Coordinator - Quality & Informatics
About The Position
Methodist Rehabilitation is seeking a detail-oriented healthcare professional for its Quality & Informatics team. The PPS Coordinator oversees the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) process, ensuring accurate clinical documentation, regulatory compliance, and timely completion and submission of assessments. The role works with physicians, case managers, clinical teams, and hospital leadership to monitor documentation accuracy, analyze quality outcomes, support performance improvement, and educate staff on CMS reporting requirements. The position is full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m., at the Main Campus inpatient facility in Jackson, Mississippi.
Requirements
- A degree in a healthcare-related field is required.
- Strong written and verbal communication skills.
- Excellent organizational skills and ability to manage multiple priorities and meet deadlines.
- Strong attention to detail and ability to identify documentation discrepancies and resolve issues.
- Ability to analyze data, recognize trends, and communicate findings effectively.
- Ability to work independently and collaborate with physicians, clinical staff, management, and hospital leadership.
- Professional judgment and ability to maintain appropriate boundaries and confidentiality.
- Proficiency in computer systems and electronic documentation.
Responsibilities
- Coordinate and oversee the IRF-PAI process from patient admission through discharge to ensure accuracy, completeness, and compliance with CMS requirements.
- Review admission assessments for accurate quality measure coding and timely availability to case managers for Case Mix Group (CMG) determination.
- Review discharge assessments and ensure completed IRF-PAI documents are submitted to eRehabData within required time frames.
- Review and approve IRF-PAI documents in MEDITECH before submission, investigating alerts, warnings, and discrepancies identified by eRehabData.
- Identify missing, incomplete, inconsistent, or inaccurate clinical documentation and collaborate with treatment team members to resolve issues.
- Monitor CMS regulatory updates and communicate changes to IRF-PAI requirements and quality measures to hospital leadership and staff.
- Collaborate with MEDITECH and other applicable systems to support timely implementation of CMS reporting and documentation updates.
- Analyze quality measures and patient outcomes using data from eRehabData, Equadr, and Care Compare to identify trends and opportunities for improvement.
- Provide feedback to physicians, clinicians, case managers, and department leaders to improve clinical documentation and patient outcomes.
- Assist with planning and delivering staff education on IRF-PAI requirements, quality measures, coding accuracy, and documentation standards.
- Participate in quality improvement initiatives, departmental committees, and performance improvement activities.
- Maintain accurate records and follow established policies, procedures, and regulatory requirements.
Benefits
- Competitive pay.
- Comprehensive, flexible benefits package for full-time employees.
- Medical and dental coverage beginning the first of the month following 30 days of employment.
- 403(b) retirement plan.
- Life insurance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
